Clinical distinction between cognitive disengagement syndrome and ADHD presentations in a nationally representative sample of Spanish children and adolescents

Background This study sought to determine whether cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) has different external correlates relative to ADHD‐inattentive presentation (INP), ADHD‐hyperactive/impulsive presentation (HIP), and ADHD‐combined presentation (CP). Methods P...

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Veröffentlicht in:Journal of child psychology and psychiatry 2024-12, Vol.65 (12), p.1601-1611
Hauptverfasser: Burns, G. Leonard, Becker, Stephen P., Montaño, Juan José, Servera, Mateu
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container_end_page 1611
container_issue 12
container_start_page 1601
container_title Journal of child psychology and psychiatry
container_volume 65
creator Burns, G. Leonard
Becker, Stephen P.
Montaño, Juan José
Servera, Mateu
description Background This study sought to determine whether cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) has different external correlates relative to ADHD‐inattentive presentation (INP), ADHD‐hyperactive/impulsive presentation (HIP), and ADHD‐combined presentation (CP). Methods Parents of a nationally representative sample of 5,525 Spanish youth (ages: 5–16, 56.1% boys) completed measures of CDS, ADHD‐inattention (IN), and ADHD‐hyperactivity/impulsivity (HI) and other measures. Scores greater/less than the top 5% on CDS, ADHD‐IN, and ADHD‐HI were used to create control (n = 5,013, 90.73%), CDS‐only (n = 131, 2.37%), ADHD‐INP‐only (n = 83, 1.50%), ADHD‐HIP‐only (n = 113, 2.05%), ADHD‐CP‐only (n = 48, 0.97%), CDS + ADHD‐INP (n = 44, 0.80%), CDS + ADHD‐HIP (n = 25, 0.45%), and CDS + ADHD‐CP (n = 68, 1.23%) groups. Results Forty‐nine percent of youth with clinically elevated CDS did not qualify for any ADHD presentation, whereas 64% of youth with clinically elevated ADHD did not qualify for CDS. The CDS‐only group was higher than the ADHD‐INP‐only, ADHD‐HIP‐only, and ADHD‐CP‐only groups on anxiety, depression, somatization, daytime sleep‐related impairment, nighttime sleep disturbance, and peer withdrawal, whereas the CDS‐only and ADHD‐INP‐only groups did not differ on ODD (ADHD‐HIP‐only and ADHD‐CP‐only higher) and academic impairment (ADHD‐CP‐only higher than CDS‐only and ADHD‐HIP‐only lower than CDS‐only). The CDS‐only group also had higher rates of anxiety, depression, and bipolar disorder diagnoses than the ADHD‐only group. Conclusions A distinction was found between CDS and each ADHD presentation, thus providing support for CDS as a syndrome that frequently co‐occurs with yet is distinct from each ADHD presentation.
doi_str_mv 10.1111/jcpp.14005
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Leonard ; Becker, Stephen P. ; Montaño, Juan José ; Servera, Mateu</creator><creatorcontrib>Burns, G. Leonard ; Becker, Stephen P. ; Montaño, Juan José ; Servera, Mateu</creatorcontrib><description>Background This study sought to determine whether cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) has different external correlates relative to ADHD‐inattentive presentation (INP), ADHD‐hyperactive/impulsive presentation (HIP), and ADHD‐combined presentation (CP). Methods Parents of a nationally representative sample of 5,525 Spanish youth (ages: 5–16, 56.1% boys) completed measures of CDS, ADHD‐inattention (IN), and ADHD‐hyperactivity/impulsivity (HI) and other measures. Scores greater/less than the top 5% on CDS, ADHD‐IN, and ADHD‐HI were used to create control (n = 5,013, 90.73%), CDS‐only (n = 131, 2.37%), ADHD‐INP‐only (n = 83, 1.50%), ADHD‐HIP‐only (n = 113, 2.05%), ADHD‐CP‐only (n = 48, 0.97%), CDS + ADHD‐INP (n = 44, 0.80%), CDS + ADHD‐HIP (n = 25, 0.45%), and CDS + ADHD‐CP (n = 68, 1.23%) groups. Results Forty‐nine percent of youth with clinically elevated CDS did not qualify for any ADHD presentation, whereas 64% of youth with clinically elevated ADHD did not qualify for CDS. The CDS‐only group was higher than the ADHD‐INP‐only, ADHD‐HIP‐only, and ADHD‐CP‐only groups on anxiety, depression, somatization, daytime sleep‐related impairment, nighttime sleep disturbance, and peer withdrawal, whereas the CDS‐only and ADHD‐INP‐only groups did not differ on ODD (ADHD‐HIP‐only and ADHD‐CP‐only higher) and academic impairment (ADHD‐CP‐only higher than CDS‐only and ADHD‐HIP‐only lower than CDS‐only). The CDS‐only group also had higher rates of anxiety, depression, and bipolar disorder diagnoses than the ADHD‐only group. Conclusions A distinction was found between CDS and each ADHD presentation, thus providing support for CDS as a syndrome that frequently co‐occurs with yet is distinct from each ADHD presentation.</description><identifier>ISSN: 0021-9630</identifier><identifier>ISSN: 1469-7610</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/jcpp.14005</identifier><identifier>PMID: 38747554</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Attention Deficit Disorder with Hyperactivity - diagnosis ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Attention deficit hyperactivity disorder ; Bipolar disorder ; Child ; Child, Preschool ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; cognitive disengagement syndrome ; comorbidity ; Conceptual Tempo ; Depression (Psychology) ; Disengagement ; Female ; Humans ; Hyperactivity ; Impulsivity ; Male ; Mental depression ; Sleep ; sluggish cognitive tempo ; Somatization ; Spain - epidemiology ; Syndrome ; transdiagnostic ; Youth</subject><ispartof>Journal of child psychology and psychiatry, 2024-12, Vol.65 (12), p.1601-1611</ispartof><rights>2024 The Authors. published by John Wiley &amp; Sons Ltd on behalf of Association for Child and Adolescent Mental Health.</rights><rights>2024 The Authors. 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Leonard</creatorcontrib><creatorcontrib>Becker, Stephen P.</creatorcontrib><creatorcontrib>Montaño, Juan José</creatorcontrib><creatorcontrib>Servera, Mateu</creatorcontrib><title>Clinical distinction between cognitive disengagement syndrome and ADHD presentations in a nationally representative sample of Spanish children and adolescents</title><title>Journal of child psychology and psychiatry</title><addtitle>J Child Psychol Psychiatry</addtitle><description>Background This study sought to determine whether cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) has different external correlates relative to ADHD‐inattentive presentation (INP), ADHD‐hyperactive/impulsive presentation (HIP), and ADHD‐combined presentation (CP). Methods Parents of a nationally representative sample of 5,525 Spanish youth (ages: 5–16, 56.1% boys) completed measures of CDS, ADHD‐inattention (IN), and ADHD‐hyperactivity/impulsivity (HI) and other measures. Scores greater/less than the top 5% on CDS, ADHD‐IN, and ADHD‐HI were used to create control (n = 5,013, 90.73%), CDS‐only (n = 131, 2.37%), ADHD‐INP‐only (n = 83, 1.50%), ADHD‐HIP‐only (n = 113, 2.05%), ADHD‐CP‐only (n = 48, 0.97%), CDS + ADHD‐INP (n = 44, 0.80%), CDS + ADHD‐HIP (n = 25, 0.45%), and CDS + ADHD‐CP (n = 68, 1.23%) groups. Results Forty‐nine percent of youth with clinically elevated CDS did not qualify for any ADHD presentation, whereas 64% of youth with clinically elevated ADHD did not qualify for CDS. The CDS‐only group was higher than the ADHD‐INP‐only, ADHD‐HIP‐only, and ADHD‐CP‐only groups on anxiety, depression, somatization, daytime sleep‐related impairment, nighttime sleep disturbance, and peer withdrawal, whereas the CDS‐only and ADHD‐INP‐only groups did not differ on ODD (ADHD‐HIP‐only and ADHD‐CP‐only higher) and academic impairment (ADHD‐CP‐only higher than CDS‐only and ADHD‐HIP‐only lower than CDS‐only). The CDS‐only group also had higher rates of anxiety, depression, and bipolar disorder diagnoses than the ADHD‐only group. 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Leonard</creatorcontrib><creatorcontrib>Becker, Stephen P.</creatorcontrib><creatorcontrib>Montaño, Juan José</creatorcontrib><creatorcontrib>Servera, Mateu</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of child psychology and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burns, G. Leonard</au><au>Becker, Stephen P.</au><au>Montaño, Juan José</au><au>Servera, Mateu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical distinction between cognitive disengagement syndrome and ADHD presentations in a nationally representative sample of Spanish children and adolescents</atitle><jtitle>Journal of child psychology and psychiatry</jtitle><addtitle>J Child Psychol Psychiatry</addtitle><date>2024-12</date><risdate>2024</risdate><volume>65</volume><issue>12</issue><spage>1601</spage><epage>1611</epage><pages>1601-1611</pages><issn>0021-9630</issn><issn>1469-7610</issn><eissn>1469-7610</eissn><abstract>Background This study sought to determine whether cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) has different external correlates relative to ADHD‐inattentive presentation (INP), ADHD‐hyperactive/impulsive presentation (HIP), and ADHD‐combined presentation (CP). Methods Parents of a nationally representative sample of 5,525 Spanish youth (ages: 5–16, 56.1% boys) completed measures of CDS, ADHD‐inattention (IN), and ADHD‐hyperactivity/impulsivity (HI) and other measures. Scores greater/less than the top 5% on CDS, ADHD‐IN, and ADHD‐HI were used to create control (n = 5,013, 90.73%), CDS‐only (n = 131, 2.37%), ADHD‐INP‐only (n = 83, 1.50%), ADHD‐HIP‐only (n = 113, 2.05%), ADHD‐CP‐only (n = 48, 0.97%), CDS + ADHD‐INP (n = 44, 0.80%), CDS + ADHD‐HIP (n = 25, 0.45%), and CDS + ADHD‐CP (n = 68, 1.23%) groups. Results Forty‐nine percent of youth with clinically elevated CDS did not qualify for any ADHD presentation, whereas 64% of youth with clinically elevated ADHD did not qualify for CDS. The CDS‐only group was higher than the ADHD‐INP‐only, ADHD‐HIP‐only, and ADHD‐CP‐only groups on anxiety, depression, somatization, daytime sleep‐related impairment, nighttime sleep disturbance, and peer withdrawal, whereas the CDS‐only and ADHD‐INP‐only groups did not differ on ODD (ADHD‐HIP‐only and ADHD‐CP‐only higher) and academic impairment (ADHD‐CP‐only higher than CDS‐only and ADHD‐HIP‐only lower than CDS‐only). The CDS‐only group also had higher rates of anxiety, depression, and bipolar disorder diagnoses than the ADHD‐only group. Conclusions A distinction was found between CDS and each ADHD presentation, thus providing support for CDS as a syndrome that frequently co‐occurs with yet is distinct from each ADHD presentation.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>38747554</pmid><doi>10.1111/jcpp.14005</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9046-5183</orcidid><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Attention Deficit Disorder with Hyperactivity - diagnosis
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention deficit hyperactivity disorder
Bipolar disorder
Child
Child, Preschool
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
cognitive disengagement syndrome
comorbidity
Conceptual Tempo
Depression (Psychology)
Disengagement
Female
Humans
Hyperactivity
Impulsivity
Male
Mental depression
Sleep
sluggish cognitive tempo
Somatization
Spain - epidemiology
Syndrome
transdiagnostic
Youth
title Clinical distinction between cognitive disengagement syndrome and ADHD presentations in a nationally representative sample of Spanish children and adolescents
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